AI in Mental Health: Emotional and Sentiment Analysis of Large Language Models' Responses to Depression, Anxiety, and Stress Queries

Abstract

Depression, anxiety, and stress are widespread mental health concerns that increasingly drive individuals to seek information from Large Language Models (LLMs). This study investigates how eight LLMs (Claude Sonnet, Copilot, Gemini Pro, GPT-4o, GPT-4o mini, Llama, Mixtral, and Perplexity) reply to twenty pragmatic questions about depression, anxiety, and stress when those questions are framed for six user profiles (baseline, woman, man, young, old, and university student). The models generated 2,880 answers, which we scored for sentiment and emotions using state-of-the-art tools. Our analysis revealed that optimism, fear, and sadness dominated the emotional landscape across all outputs, with neutral sentiment maintaining consistently high values. Gratitude, joy, and trust appeared at moderate levels, while emotions such as anger, disgust, and love were rarely expressed. The choice of LLM significantly influenced emotional expression patterns. Mixtral exhibited the highest levels of negative emotions including disapproval, annoyance, and sadness, while Llama demonstrated the most optimistic and joyful responses. The type of mental health condition dramatically shaped emotional responses: anxiety prompts elicited extraordinarily high fear scores (0.974), depression prompts generated elevated sadness (0.686) and the highest negative sentiment, while stress-related queries produced the most optimistic responses (0.755) with elevated joy and trust. In contrast, demographic framing of queries produced only marginal variations in emotional tone. Statistical analyses confirmed significant model-specific and condition-specific differences, while demographic influences remained minimal. These findings highlight the critical importance of model selection in mental health applications, as each LLM exhibits a distinct emotional signature that could significantly impact user experience and outcomes.